Chest wall contouring for female-to-male transsexuals.

Several techniques for treating the breasts of patients with female-to-male gender identity disorders have been reported. When the patient's breasts do not sag significantly, the authors prefer to remove the breast tissue through a crescent-shaped excision of infraareolar skin in the first operation. In the second operation, reduction of the nipple is performed. Because the periareolar incision may cause a deformity of the areola, the new small nipple should be positioned in the center of the areola. Because breast scars are visible in many Asian patients, the authors believe that the scars should be as small as possible.